王建元, 刘健, 陈玲. 运动训练联合无创通气在稳定期尘肺病患者康复护理中的应用[J]. 职业卫生与应急救援, 2016, 34(3): 192-195. DOI: 10.16369/j.oher.issn.1007-1326.2016.03.005
引用本文: 王建元, 刘健, 陈玲. 运动训练联合无创通气在稳定期尘肺病患者康复护理中的应用[J]. 职业卫生与应急救援, 2016, 34(3): 192-195. DOI: 10.16369/j.oher.issn.1007-1326.2016.03.005
WANG Jianyuan, LIU Jian, CHEN Ling. Application of integrated exercise training and noninvasive ventilation in rehabilitation nursing of pneumoconiosis patients at stable stage[J]. Occupational Health and Emergency Rescue, 2016, 34(3): 192-195. DOI: 10.16369/j.oher.issn.1007-1326.2016.03.005
Citation: WANG Jianyuan, LIU Jian, CHEN Ling. Application of integrated exercise training and noninvasive ventilation in rehabilitation nursing of pneumoconiosis patients at stable stage[J]. Occupational Health and Emergency Rescue, 2016, 34(3): 192-195. DOI: 10.16369/j.oher.issn.1007-1326.2016.03.005

运动训练联合无创通气在稳定期尘肺病患者康复护理中的应用

Application of integrated exercise training and noninvasive ventilation in rehabilitation nursing of pneumoconiosis patients at stable stage

  • 摘要: 目的 探讨不同康复治疗与护理方法对稳定期尘肺病患者肺功能及动脉血气的影响。 方法 选取2012年1月-2015年8月住院的稳定期尘肺病患者120例,根据患者入院先后顺序将其分为常规组(A组)、运动训练组(B组)、无创通气治疗组(C组)、联合康复组(D组),每组30例,分别采用不同的康复治疗与护理方法,比较各组患者干预前后肺功能与动脉血气的情况。 结果 经过3个月的康复治疗,4组患者肺功能各项指标中,MVV、DLCO的差异具有统计学意义(P<0.05)。进一步两两比较,B、C、D组MVV测得值优于A组,C、D组MVV优于B组;D组DLCO测得值优于A、B组。以上差异均有统计学意义(P<0.05)。干预前后各组肺功能指标比较,干预后D组FVC、DLCO测得值较干预前明显改善,B、C、D3组患者MVV较干预前改善,差异均有统计学意义(P<0.05)。C、D组PaO2、SpO2测得值好于A、B组,差异有统计学意义(P<0.05);干预前后各组动脉血气比较,干预后C、D组PaO2、SpO2较干预前明显改善,差异有统计学意义(P<0.05)。 结论 运动训练和无创通气治疗均能在一定程度上改善尘肺病患者肺功能及动脉血气;运动训练联合无创通气治疗比常规或单纯运动训练、无创通气更能改善尘肺病患者肺功能及动脉血气,值得在稳定期尘肺病患者的康复治疗与护理中推广。

     

    Abstract: Objective To explore the effect of different rehabilitation treatment and nursing methods in the improvement of pulmonary function and arterial blood gas condition of pneumoconiosis patients at stable stage. Method Totally 120 pneumoconiosis patients at stable stage during January 2012 to August 2015 were treated in different ways, namely the regular group(A), the exercise training group(B),the noninvasive ventilation group(C) and the integrated exercise training and noninvasive ventilation group(D). After 3 months of rehabilitation treatment,the varied therapeutic indexes were measured and compared among different groups. Results There were no differences of various observed indexes among the patients in different groups before they received the treatment. It was noted that the MVV and DLCO in all patients had been improved after 3 months' treatment. With further comparison,MVV of group B,C and D was better than that of group A;MVV of group C and D was better than that of group B; DLCO of group D was better than that of group A and B, and the differences were statistically significant (P<0.05). After intervention, the lung function(FVC and DLCO) of patients in group D were significantly improved(P<0.05). MVV of patients of group B, C and D were significantly improved compared with that before intervention, and the difference was statistically significant (P<0.05). PaO2,SpO2 of group C and D were better than those of group A and B(P<0.05).Through comparison of arterial blood gas of the patients in each group,PaO2 and SpO2 of group C and D were significantly improved after intervention,and the difference was statistically significant (P<0.05). Conclusion The rehabilitation nursing with integrated exercise training and noninvasive ventilation is more effective in the treatment of pneumoconiosis patients at stable stage.

     

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